PDF(Pubmed)
Abstract：
UNASSIGNED: Oesophageal fistula is a rare complication of catheter ablation of atrial fibrillation with most fistulas being atrio-oesophageal fistulas, but oesophageal-pericardial fistula can also happen in the absence of atrial perforation.
UNASSIGNED: A 68-year-old male patient presented with chest pain 10 days after catheter ablation of paroxysmal atrial fibrillation. He was discharged after an initial negative workup that included a CT chest without contrast. He later presented again with severe chest pain and fever and was found to have an oesophageal-pericardial fistula. He underwent surgical and endoscopic treatment with good recovery.
UNASSIGNED: Patients with oesophago-pericardial fistulas often have delayed presentation 1-4 weeks after the ablation procedure. Early diagnosis can be challenging. CT with oral and intravenous contrast is often used for diagnosis. Treatment often includes antibiotics, surgical or interventional drainage of infected spaces with oesophageal repair, clipping or stenting. In contrast to atrio-oesophageal fistulas that carry a high mortality rate, mortality for oesophago-pericardial fistulas appears to be much lower.
UNASSIGNED: A 68-year-old male patient presented with chest pain 10 days after catheter ablation of paroxysmal atrial fibrillation. He was discharged after an initial negative workup that included a CT chest without contrast. He later presented again with severe chest pain and fever and was found to have an oesophageal-pericardial fistula. He underwent surgical and endoscopic treatment with good recovery.
UNASSIGNED: Patients with oesophago-pericardial fistulas often have delayed presentation 1-4 weeks after the ablation procedure. Early diagnosis can be challenging. CT with oral and intravenous contrast is often used for diagnosis. Treatment often includes antibiotics, surgical or interventional drainage of infected spaces with oesophageal repair, clipping or stenting. In contrast to atrio-oesophageal fistulas that carry a high mortality rate, mortality for oesophago-pericardial fistulas appears to be much lower.
摘要：
■食管瘘是心房颤动导管消融术的罕见并发症，大多数瘘是心房食管瘘，但食管-心包瘘也可发生在没有心房穿孔的情况下。
■一名68岁男性患者在导管消融阵发性心房颤动10天后出现胸痛。他在最初的阴性检查后出院，其中包括CT胸部，没有对比。他后来再次出现严重的胸痛和发烧，并被发现患有食管-心包瘘。他接受了手术和内窥镜治疗，恢复良好。
■食管-心包瘘患者在消融术后1-4周出现延迟。早期诊断具有挑战性。口服和静脉造影的CT通常用于诊断。治疗通常包括抗生素，用食管修复术对感染空间进行手术或介入引流，夹闭或支架。与高死亡率的心房食管瘘相反，食道-心包瘘的死亡率似乎要低得多。
■一名68岁男性患者在导管消融阵发性心房颤动10天后出现胸痛。他在最初的阴性检查后出院，其中包括CT胸部，没有对比。他后来再次出现严重的胸痛和发烧，并被发现患有食管-心包瘘。他接受了手术和内窥镜治疗，恢复良好。
■食管-心包瘘患者在消融术后1-4周出现延迟。早期诊断具有挑战性。口服和静脉造影的CT通常用于诊断。治疗通常包括抗生素，用食管修复术对感染空间进行手术或介入引流，夹闭或支架。与高死亡率的心房食管瘘相反，食道-心包瘘的死亡率似乎要低得多。
